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Mind the Gap Methods: Steps to making Participatory Action Analysis with Citizen Collaborators Work

Amy Price, Su May Liew, Jo Kirkpatric, Jasmin Price, Taylor Lopreto, Yasmin Nelkin

Abstract


Background, aims and objectives: Participants in health research want to be involved in the research. Researchers struggle with how to approach citizens as co-researchers, train them, tactfully reduce contributions that are less useful and what to do about compensation and where to include citizen input in a manuscript. The aim of this study was to use participatory action research to prioritize the research question and to explore projected solutions as citizens and researchers with equal voices in research. In the first section of this paper we provide an introductory explanation of Participatory Action. In the second section we discuss our findings.

Methods: The research explored the strengths, weaknesses, opportunities and threats in clinical trials as represented through online communications. In this follow-up analysis we share learning points for successful research involvement. Researchers and citizens worked in a participatory research framework. They searched the Internet using key words to locate social media conversations and Internet interviews about clinical trials over 4 months until a saturation point was reached. Data were de-identified and coded into a SWOT analysis and further coded into themes and analyzed. The findings and solutions were discussed using a circle chart for problem solving. The data were prioritized by consensus and the process is reported here.

Results: Investigators and participant researchers were not conflicted in assigning themes because the data were clearly stated and the same sentiments were repeated consistently. The teams reached consensus about which quotes to include to support the findings. These themes ranged from supportive researcher-to-participant and participant-peer relationships to experiences of shame, research disparity, intimidation and personal loss.

Conclusions: This research engages citizen participants as equal partners in all aspects of this study. Public and patient involvement as co-production in research can be used to identify and suggest resolutions in research. The use of participatory action in research can improve consistency, communication, innovation and quality in clinical trials.

 

 


Keywords


citizen research impact, participatory action research, patient experience, research involvement, research methods, thematic analysis

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References


Price, A., Liew, S.M., Nelkin, Y. & Price, J. (2016). Mind the gap in clinical trials: A participatory action analysis with citizen collaborators. Journal of Evaluation in Clinical Practice In-Press: doi:10.1111/jep.12678.

Reason, P. & Bradbury, H. (2006). Handbook of action research: the concise paperback edition. Handbook of action research participative inquiry and practice. London UK: Sage Publications.

Price, A., Chatterjee, P. & Biswas, R. (2014). Time for person centered research in neuroscience: users driving the change. Annals of Neuroscience 21 (2) 37-40.

Savage, N. (2011). Twitter as medium and message. Communications of the ACM 54 (3) 18-20.

Earle, P. (2010). Earthquake Twitter. Nature Geoscience 3, 221-222.

Price, A. (2014). BMJ Blogs: The BMJ » Blog Archive » Amy Price: Patients doing research for themselves. In: BMJ Blogs [Internet]. [cited 8 Dec 2014]. Available: http://blogs.bmj.com/bmj/2014/10/17/amy-price-patients-doing-research-for-themselves/

Snow, R., Crocker, J.C. & Crowe, S. (2015). Missed opportunities for impact in patient and carer involvement: a mixed methods case study of research priority setting. Research Involvement and Engagement doi:10.1186/s40900-015-0007-6.

Staley, K. (2015). “Is it worth doing?” Measuring the impact of patient and public involvement in research. Research Involvement and Engagement doi:10.1186/s40900-015-0008-5.

Greenhalgh, T., Snow, R., Ryan, S., Rees, S. & Salisbury, H. (2015). Six “biases” against patients and carers in evidence-based medicine. BMC Medicine 13, 200.

Tallon, D., Chard, J. & Dieppe, P. (2000). Relation between agendas of the research community and the research consumer. Lancet 355, 2037-2040.

Chalmers, I. (1995). What do I want from health research and researchers when I am a patient? British Medical Journal 310, 1315-1318.

Chalmers, I. (2003). Trying to do more Good than Harm in Policy and Practice: The Role of Rigorous, Transparent, Up-to-Date Evaluations. Annals of the American Academy of Political and Social Science 589, 22-40.

Crowe, S., Fenton, M., Hall, M., Cowan, K. & Chalmers, I. (2015). Patients’, clinicians’ and the research communities’ priorities for treatment research: there is an important mismatch. Research Involvement and Engagement 1, 2.

Richards, T., Snow, R. & Schroter, S. (2016). Co-creating health: more than a dream. British Medical Journal 4550, i4550.

Baum, F., MacDougall, C. & Smith, D. (2006). Participatory action research. Journal of Epidemiology & Community Health 60, 854-857.

Epstein, R.M., Alper, B.S. & Quill, T.E. (2014). Communicating evidence for participatory decision making. Journal of the American Medical Association 291 (9) 2359-2366.

Grimshaw, J.M., Santesso, N., Cumpston, M., Mayhew, A. & McGowan, J. (2006). Knowledge for knowledge translation: the role of the Cochrane Collaboration. Journal of Continuing Education in the Health Professions 26, 55-62.

Neill, M.O. (2013). The NVivo Toolkit.

Marshall, M.N. (1996). Sampling for qualitative research. Family Practice 13, 522-525.

Bazeley, P. (2009). Analysing Qualitative Data : More Than “Identifying Themes.” Malaysian Journal of Qualitative Research 2, 6-22.

Fisher, R. & Ury, W. (1991). Getting to Yes. Negotiating an Agreement without giving in, pp. xxvi–xix, 3-14.New York: Random House.

Anthony L. (2015)., Laurence Anthony’s AntConc. In: AntCont Software.[cited 5 Aug 2015]. Available at: http://www.laurenceanthony.net/software/antconc/

CISCRP. Clinical Trial Participant Concerns. Available at: www.ciscrp.org pp. 1-5.

Price, A., Biswas, T. & Biswas, R. (2013). Person-centered healthcare in the information age: Experiences from a user driven healthcare network. European Journal for Person Centered Healthcare 1 (2) 385-393.

Goldacre, B. (2015). How to Get All Trials Reported: Audit, Better Data, and Individual Accountability. PLOS Medicine 12, e1001821.

O’Neill, O. (2003). Some limits of informed consent. Journal of Medical Ethics 29, 4-7.

Shepherd, L., O’Carroll, R.E. & Ferguson, E. (2014). An international comparison of deceased and living organ donation/transplant rates in opt-in and opt-out systems: a panel study. BMC Medicine 12, 1-14.

NHS UK. (2013). Sharing your data with the NHS - Health records - NHS Choices. [Cited 16 May 2015]. Available at: http://www.nhs.uk/NHSEngland/thenhs/records/healthrecords/Pages/care-data.aspx

Antoniou, E.E., Draper, H., Reed, K., Burls, A., Southwood, T.R. & Zeegers, M.P. (2011). An empirical study on the preferred size of the participant information sheet in research. Journal of Medical Ethics 37, 557-562.

Gillies, K., Elwyn, G. & Cook, J. (2014). Making a decision about trial participation: the feasibility of measuring deliberation during the informed consent process for clinical trials. Trials 15, 307.

Zimmer, C. (2013). A Family Consents to a Medical Gift, 62 Years Later - NYTimes.com. In: New York Times (Science) [cited 16 May 2015]. Available at: http://www.nytimes.com/2013/08/08/science/after-decades-of-research-henrietta-lacks-family-is-asked-for-consent.html?smid=tw-nytimesscience&seid=auto&_r=0

Hazell, L. & Shakir, S.W. (2006). Under-reporting of adverse drug reactions : a systematic review. Drug Safety 29 (5) 385-396.

Palackdharry, C.S., Evans, D.L., McDonough, R.S., Clarke, M.E., Cross, J.D., Klein, I.M. & Reisman, L. (2012). Payer coverage for patients enrolled onto clinical trials: Making the process easy and transparent for everyone. American Journal of Managed Care 18 (5 Spec No.2) SP91-97.

Brett, J., Staniszewska, S., Mockford, C., Herron-Marx, S., Hughes, J., Tysall, C. & Suleman, R. (2014). Mapping the impact of patient and public involvement on health and social care research: a systematic review. Health Expectations 17 (5) 637-650.

University of Oxford. (2012). Central University Research Ethics Committee (CUREC). Available at: http://www.admin.ox.ac.uk/curec/




DOI: http://dx.doi.org/10.5750/ejpch.v5i2.1271

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